Fon Elvis Tifang

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HHA11914 Issued in DC

Practice address

15524 Finchingfield Way
Upper Marlboro, MD 20774-8091

Phone

(240) 360-9129

NPI assigned

Mar 22, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mr. Fon Elvis Tifang Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1407218266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15524 FINCHINGFIELD WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748091",
            "telephone_number": "240-360-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15524 FINCHINGFIELD WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748091",
            "telephone_number": "240-360-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIFANG",
        "first_name": "FON",
        "middle_name": "ELVIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA11914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FON",
            "last_name": "TIFANG",
            "middle_name": "ELVIS",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sean Thompson
• Tyra L Thompson, LCPC
• Jecika Enyoh Tibah
• Tic Toc Healthcare Inc
• Tic Toc Healthcare Inc
• Philipa Tifang
• Tillie'S House of Hope
• Kama Tillman, MD
• Engoh M Timah
• Tint Services LLC

• Home Health Aide in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Home Health Aide in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.